Organization
TIPTONVILLE FAMILY PHARMACY
Active
Other names
Tiptonville Family Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MANCELL (OWNER)
(731) 499-1168
Entity
Organization
Contact information
Practice address
650 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-0153
(731) 253-0143
Mailing address
650 CARL PERKINS PKWY, TIPTONVILLE, TN 38079-1678
(731) 253-0153
(731) 623-5025
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
12/10/2018
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